Tedford Housing-Evergreen Woods

LBN: Tedford Housing-Evergreen Woods
Tedford Housing-Evergreen Woods is an health care organization with primary practice located at 10 James Way , Bath ME 04530. The organization recently has only one registered license in Agencies / Case Management, which is considered as the primary health care specialty. Tedford Housing-Evergreen Woods can be contacted via phone (207) 729-1161, or through Kniseley, Don via phone (207) 729-1161.

Contact Information

Primary practice address
10 James Way Bath ME 04530
Phone: (207) 729-1161
Fax: (207) 725-7625
Website:
Map and Directions
Authorized official contact:
Name: Kniseley, Don
Phone: (207) 729-1161

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X

Profile Details

NPI number 1659520096
LBN Legal business name Tedford Housing-Evergreen Woods
DBA Doing business as
Authorized official Kniseley, Don
Entity Organization
Organization subpart 1 No
Enumeration date Sep 10th, 2008
Last updated Sep 10th, 2008 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659520096 NPPES
Maine MEDICAID 117540003

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